NATIONAL AMERICAN UNIVERSITY BLOOMINGTON CAMPUS BSN PROGRAM Nursing 3360: Holistic Nursing Care in Acute Illness I Spring

2014 Learning Plan 3 Pain Management Stress and Stress Management Ob ecti!e o" t#e Course$Co%petenc&: 1' (e%onstrate t#eoretical principles an) abilit& to per"or% sa"e* e""ecti!e an) e""icient ps&c#o%otor s+ills' Know edge and s!i s eading to master" o# t$is %om&eten%" a' E(& ain t$e interre ations$i&s among t$eor") &ra%ti%e) and resear%$' *' Integrate t$eories and %on%e&ts #rom i*era ed+%ation into n+rsing &ra%ti%e' %' ,etermine t$e a&& i%ation o# &s"%$omotor s!i s #or t$e e##i%ient) sa#e) and %om&assionate de i-er" o# % ient %are' 2' Ac,uire +no-le)ge t#at pro%otes t#e sa"e )eli!er& o" prescribe) %e)ications' Know edge and s!i s eading to master" o# t$is %om&eten%" a' Esta* is$ a #o+ndationa +nderstanding o# t$e medi%ation administration &ro%ess' *' Identi#" so+r%es o# in#ormation ne%essar" to administer &res%ri*ed medi%ation) in% +ding %om&ati*i it" and intera%tions among &res%ri*ed medi%ations and %om& ementar" s+*stan%es' %' ,etermine t$e sa#e range o# t$e dosage &res%ri*ed' d' Ca %+ ate dosage ne%essar" to administer &res%ri*ed medi%ations' e' ,etermine t$e a&&ro&riateness o# t$e ro+te #or administration o# &res%ri*ed medi%ation' #' ,emonstrate t$e a*i it" to &re&are and administer &res%ri*ed medi%ation' g' ,etermine t$e e##e%ti-eness o# t$e &res%ri*ed medi%ation' $' ,emonstrate t$e a*i it" to #o ow &ro%ed+re #or wor!ing wit$ %ontro ed s+*stan%es' 3' ./plain t#e purposes* rationales* an) in)ications "or !arious nursing actions' Know edge and s!i s eading to master" o# t$is %om&eten%" a' In%or&orate a mode o# %riti%a t$in!ing w$en ma!ing % ini%a .+dgments and de%isions' *' Cite n+rsing and asso%iated iterat+re t$at s+&&orts t$e n+rsing a%tion' %' ,e i-er %om&assionate) % ient/%entered) e-iden%e/*ased %are t$at res&e%ts % ient and #ami " &re#eren%es' d' E(& ore &$enomena in n+rsing t$at re ates to t$e $+man res&onse to i ness'

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Ac,uire +no-le)ge "ro% t#e be#a!ioral* biological an) p#&sical sciences necessar& to pro!i)e si%ple to inter%e)iate le!el nursing actions' Know edge and s!i s eading to master" o# t$is %om&eten%" a' S"nt$esi0e t$eories and %on%e&ts #rom i*era ed+%ation to *+i d an +nderstanding o# t$e $+man e(&erien%e *' Identi#" so+r%es o# in#ormation ne%essar" to de i-er n+rsing a%tions to % ients and #ami ies w$o are e(&erien%ing i ness' %' In%or&orate t$eories o# aging w$en &ro-iding %are #or geronto ogi%a % ients' d' E(& ore t$e Patterns o# Knowing' 0' (ocu%ent pertinent* accurate an) co%plete client care in"or%ation' Know edge and s!i s eading to master" o# t$is %om&eten%" a' In%or&orate a standardi0ed termino og" in a %are en-ironment t$at re# e%ts n+rsing1s +ni2+e %ontri*+tion to &atient o+t%omes' *' E(amine in#ormation and e e%troni% medi%a re%ord s"stems +sed to do%+ment % ient in#ormation' %' E(& ain t$e +se o# CIS s"stems to do%+ment inter-entions re ated to a%$ie-ing n+rse sensiti-e o+t%omes' 6' (e%onstrate a)!ancing +no-le)ge an) s+ill in i%ple%enting t#e nursing process in client care an) critical t#in+ing acti!ities' Know edge and s!i s eading to master" o# t$is %om&eten%" a' Arti%+ ate t$e %om&onents o# t$e n+rsing &ro%ess3 Assessment) diagnosis) o+t%ome identi#i%ation) & anning) im& ementation) and e-a +ation' *' Re ate t$e si( %om&onents o# t$e n+rsing &ro%ess to t$e n+rse1s % ini%a reasoning' %' ,is%+ss t$e signi#i%an%e o# n+rsing diagnosis #or n+rsing &ra%ti%e' d' ,i##erentiate *etween a medi%a and n+rsing diagnosis' e' ,is%+ss t$e %ategori0ation o# n+rsing diagnosis *" #+n%tiona $ea t$ &atterns' #' E(& ore t$e #o+r t"&es o# diagnosti% statements3 A%t+a ) ris!) &ossi* e) and we ness' g' E(& ain t$e &+r&oses o# o+t%ome identi#i%ation and & anning' $' E(& ore N+rsing O+t%omes C assi#i%ations and N+rsing Inter-ention C assi#i%ation' i' E(& ain t$e &+r&oses o# im& ementation and e-a +ation' .' E(& ain a%ti-ities t$e n+rse %arries o+t to e##e%ti-e " +se t$e n+rsing &ro%ess' 1' ./plore t#e stress* an/iet&* coping an) a)aptation o" t#e client an) "a%il&' Know edge and s!i s eading to master" o# t$is %om&eten%" a' In-estigate t$e %on%e&ts o# stress) an(iet") %o&ing and ada&tation' *' E-a +ate &erson en-ironment #a%tors t$at %ontri*+te to t$e e(&erien%e o# stress and an(iet"' %' E(amine t$e im&ortan%e o# %ogniti-e a&&raisa in e(&erien%ing stress' d' ,etermine strategies to manage stress and i ness' e' ,etermine w$en &ro* em/#o%+sed and emotion/#o%+sed %o&ing s$o+ d *e +sed' #' Categori0e &$arma%o ogi%a t$era&ies +sed to treat an(iet" disorders' g' S+mmari0e ada&tation in terms o# $ea t$) &s"%$o ogi%a we /*eing) and so%ia #+n%tion' O!er!ie-:

Pain %a+ses s+##ering and a so red+%es 2+a it" o# i#e and is one o# t$e ma.or reasons t$at &eo& e see! $ea t$ %are' N+rses m+st $a-e a t$oro+g$ +nderstanding o# t$e &$"sio ogi% and &s"%$oso%ia dimensions o# &ain to %ond+%t an e##e%ti-e assessment and manage &atients e(&erien%ing &ain' T$e st+d" o# stress is im&ortant in +nderstanding its ro e in re ation to &$"si%a and emotiona $ea t$' Learning Acti!ities: Le-is: C$a&ter 45 Pain C$a&ter 6 Stress and Stress Management Potter an) Perr&: C$a&ter 78 Pain Management A2I A)ult 3e)ical4Surgical Nursing C$a&ter 7 Pain Management C$a&ter 459 Pain Management #or C ients wit$ Can%er A2I 5un)a%entals C$a&ter 88 Co&ing Post 2#eor&: :ESI Case St+d" ; Perio&erati-e Care <=+ndamenta s> 6e!ie-: Ameri%an :o isti% N+rses Asso%iation o $tt&3??www'a$na'org?Reso+r%es?StressManagement?ta*id?4@@A?,e#a+ t'as&( o $tt&3??www'a$na'org?Reso+r%es?StressManagement?=orN+rsingSt+dents?E(er%ises #orSt+dents?ta*id?464B?,e#a+ t'as&( Co%e to class prepare) to )iscuss: Pain o ,imensions o# &ain o Assessment o P$arma%o ogi%a o Non/&$arma%o ogi%a o Et$i%a iss+es Stress and stress management o Res&onses to stress o E##e%ts o# stress on $ea t$ o Re a(ation strategies Learning Ob ecti!es: 4' Identi#" %om&onents o# t$e &ain e(&erien%e' @' ,es%ri*e t$e ne+ra me%$anisms o# &ain and &ain mod+ ation'

8' ,i##erentiate *etween no%i%e&ti-e and ne+ro&at$i% t"&es o# &ain' 7' E(& ain t$e &$"si%a and &s"%$o ogi%a e##e%ts o# +nre ie-ed &ain' 9' Inter&ret t$e s+*.e%ti-e and o*.e%ti-e data t$at are o*tained #rom a %om&re$ensi-e &ain assessment' B' ,es%ri*e e##e%ti-e m+ tidis%i& inar" &ain management te%$ni2+es' C' ,es%ri*e &$arma%o ogi% and non/&$arma%o ogi% met$ods o# &ain re ie#' 6' E(& ain t$e n+rse1s ro e and res&onsi*i it" in &ain management' A' ,is%+ss et$i%a and ega iss+es re ated to &ain and &ain management' 45' E-a +ate t$e in# +en%e o# one1s own !now edge) *e ie#s) and attit+des a*o+t &ain assessment and management' 44' ,is%+ss %ommon mis%on%e&tions a*o+t &ain' 4@' E(& ain $ow t$e &$"sio og" o# &ain re ates to se e%ting inter-entions #or &ain re ie#' 48' E(& ain $ow %+ t+ra #a%tors in# +en%e t$e &ain e(&erien%e' 47' ,es%ri*e g+ide ines #or se e%ting and indi-id+a i0ing &ain inter-entions' ' 49' E-a +ate a % ient1s res&onse to &ain inter-entions' 4B' ,i##erentiate *etween t$e terms stressor and stress. 4C' E(& ain t$e ro e o# %o&ing in managing stress' 46' ,es%ri*e t$e ro e o# t$e ner-o+s and endo%rine s"stems in t$e stress &ro%ess' 4A' ,es%ri*e t$e e##e%ts o# stress on t$e imm+ne s"stem' @5' ,is%+ss t$e e##e%ts o# stress on $ea t$' @4' ,es%ri*e t$e %o&ing and re a(ation strategies t$at %an *e +sed *" a n+rse or &atient e(&erien%ing stress' @@' ,es%ri*e t$e n+rsing assessment and management o# a &atient e(&erien%ing stress' @8' ,es%ri*e t$e t$ree stages o# t$e genera ada&tation s"ndrome' @7' ,i##erentiate a%+te stress disorder and &osttra+mati% stress disorder' @9' ,is%+ss t$e integration o# stress t$eor" wit$ n+rsing t$eories' @B' ,es%ri*e stress management te%$ni2+es *ene#i%ia #or %o&ing wit$ stress' @C' ,is%+ss t$e &ro%ess o# %risis inter-ention' @6' ,e-e o& a %are & an #or % ients e(&erien%ing stress' @A' ,is%+ss $ow stress in t$e wor!& a%e a##e%ts t$e n+rse'